Organization
MINA CORPORATION
Active
Other names
Mina Pharmacy #2
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL ETINAS (PRESIDENT,CEO)
(808) 222-9252
Entity
Organization
Contact information
Practice address
599 FARRINGTON HWY STE 101, KAPOLEI, HI 96707-2028
(808) 674-4477
(808) 674-9305
Mailing address
33 75 KOAPAKA ST, F245, HONOLULU, HI 96819
(808) 738-4540
(808) 222-9252
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
605
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2143016
PK
—
Enumeration date
12/17/2013
Last updated
12/17/2013
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